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Table 4 The disintegration of Hcat inequality in integrated areas and non-integrated areas

From: Catastrophic health expenditure incidence and its equity in China: a study on the initial implementation of the medical insurance integration system

Integrated areasNon-integrated areas
VariableβCIContribution (%)VariableβCIContribution (%)
Hospitalized member ***  −42.48Hospitalized member***  −44.00
 Yes0.9460.096  Yes0.8810.099 
 NoReference   NoReference  
Chronic disease member ***  −4.85Chronic disease member***  −9.64
 Yes0.3960.015  Yes0.4340.029 
 NoReference   NoReference  
Member > 60 years of age ***  19.32Member > 60 years of age ***  12.99
 Yes0.259−0.098  Yes0.233− 0.073 
 NoReference   NoReference  
Member < 5 years of age − 0.0140.15Member < 5 years of age  − 0.60
 Yes0.039   Yes−0.042− 0.050 
 NoReference   NoReference  
Preferred medical institution  3.46Preferred medical institution ***  −12.23
 Primary medical institutions0.040−0.070  Primary medical institutions−0.113− 0.076 
 Non-primary medical institutionsReference   Non-primary medical institutionsReference  
Household income  13.38Household income  23.83
 Quintile I (Poorest)Reference   Quintile I (Poorest)Reference  
 Quintile II0.032−0.400  Quintile II−0.037− 0.399 
 Quintile III−0.0350.000  Quintile III **−0.0880.001 
 Quintile IV−0.0670.400  Quintile IV **−0.1130.401 
 Quintile V (Richest)−0.0020.800  Quintile V (Richest)− 0.0540.801 
Household size  7.01Household size  1.57
  ≤ 2 ***0.788− 0.026   ≤ 2 ***0.646−0.019 
 3–4 ***0.3470.038  3–4 ***0.2940.039 
  ≥ 5Reference    ≥ 5Reference  
Sex  1.22Sex  2.70
 Men ***0.095−0.012  Men ***0.120−0.019 
 WomenReference   WomenReference  
Marital status  2.34Marital status  3.90
 Unmarried and other **−0.0660.025  Unmarried and other **−0.0910.029 
 MarriedReference   MarriedReference  
Educational attainment  45.47Educational attainment  33.41
 IlliterateReference   IlliterateReference  
 Primary school ***−0.180−0.181  Primary school ***−0.213− 0.183 
 Junior high school ***−0.346−0.003  Junior high school ***−0.3210.007 
 High school and above ***−0.4860.317  High school and above ***−0.4010.327 
Occupation  9.16Occupation  −7.06
 Employed ***−0.3670.006  Employed ***−0.394−0.029 
 Retired **−0.1390.156  Retired *−0.0910.283 
 OtherReference   OtherReference  
Location of residences  −0.39Location of residences  4.30
 Eastern ***0.0450.045  Eastern ***−0.1090.080 
 Middle ***−0.126−0.126  Middle ***−0.1860.000 
 WesternReference   WesternReference  
Residence  18.55Residence  23.88
 UrbanReference   UrbanReference  
 Rural ***0.127−0.194  Rural ***0.148−0.189 
Medical insurance  29.89Medical insurance  60.73
 UEBMI0.1170.232  UEBMI ***−0.2620.354 
 USBMI−0.1850.303  URBMI−0.006−0.016 
 URRBMI *0.205−0.191  NRCMS0.105−0.195 
 Mixed medical insurance−0.1650.357  Mixed medical insurance−0.1400.252 
 Uninsured and otherReference   Uninsured and otherReference  
  1. CI concentration index, UEBMI Urban Employee Basic Medical Insurance, URBMI Urban Resident Basic Medical Insurance, NRCMS New Rural Cooperative Medical Scheme, URRBMI urban and rural residents’ basic medical insurance system, USBMI Universal Social Basic Medical Insurance
  2. * p < 0.05; ** p < 0.01; *** p < 0.001